Patricia Irene Smith, LPN
Individual provider Active NPI Licensed Practical Nurse · Phoenix, NY
NPI 1982923132 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1982923132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 209404-1 (NY)
- Practice address
- 426 Main St
Phoenix, NY 13135-2354 - Phone
- (315) 695-4782
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209404-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 209404-1 | NY | Yes |
Addresses
Primary practice location
426 Main St
Phoenix, NY 13135-2354
Mailing address
426 Main St
Phoenix, NY 13135-2354
Phone (315) 695-4782
Other providers in Phoenix, NY
- Lily Jeannine Roach
- SG Dental, PC
- Douglas Shearer
- Suzan Mary Elizabeth Sheldon
- Mary E Smith
- Claudia Sobik
- Crystal Elizabeth Tangorra
- Bridget Elizabeth Walts
- Beth A Whipple
- Kayleigh Marie Wood
All providers in Phoenix, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.